To describe the metabolic and nutritional repercussions of chronic liver disease (CLD), proposing strategies that optimize nutritional therapy in the pre- and post-liver transplantation (LT) period, in order to promote favorable clinical outcomes and adequate growth and development, respectively.
Bibliographic search in the PubMed, Lilacs and SciELO databases of the last 12 years, in English and Portuguese; target population children from early childhood to adolescence; keywords in Portuguese and their correlates in English "Liver Transplant," "Biliary Atresia," "Nutrition Therapy," "Nutritional Status," and "Child"; in addition to Boolean logics "and" and "or," and the manual search of articles.
Malnutrition in children with CLD is a very common condition and an important risk factor for morbidity and mortality. There is an increase in energy and protein demand, as well as difficulties in the absorption of carbohydrates, lipids and micronutrients such as fat-soluble vitamins and some minerals. An increase in the supply of energy, carbohydrates and proteins and micronutrients, especially fat-soluble vitamins, iron, zinc and calcium, is suggested, except in cases of hepatic encephalopathy (this restriction is indicated for a short period).
Based on metabolic changes and anthropometric and body composition monitoring, a treatment plan should be developed, following the nutritional recommendations available, in order to minimize the negative impact of malnutrition on clinical outcomes during and after LT.
Based on metabolic changes and anthropometric and body composition monitoring, a treatment plan should be developed, following the nutritional recommendations available, in order to minimize the negative impact of malnutrition on clinical outcomes during and after LT.To analyze women's desires, expectations and experiences regarding skin-to-skin contact and breastfeeding in the first hour of life of their newborns.
Qualitative research carried out in a teaching hospital in the Northeast Region of Brazil. The patients were followed longitudinally during prenatal care, at birth and during the puerperium. The participants were pregnant women during normal risk prenatal care, aged over 18 years old. Structured and semi-structured interviews were carried out in the prenatal period, participant observation at the time of delivery and new interviews in the puerperium. Content analysis was applied in the thematic modality.
18 women between 21 and 38 years old were enrolled in the research. Women expressed the desire for skin-to-skin contact and breastfeeding as immediate practices right after delivery and birth. However, many women did not believe it was possible, and the performance of routine procedures was considered the main obstacle. These expectations that skin-to-skin contact and early breastfeeding would not be carried out were confirmed in the experiences immediately after birth.
The expectations and experiences brought by these women suggest a flaw that starts in prenatal care and implies difficulties in implementing the studied practices. Thus, the empowerment and participation of women can become an important tool in the humanization of birth.
The expectations and experiences brought by these women suggest a flaw that starts in prenatal care and implies difficulties in implementing the studied practices. Thus, the empowerment and participation of women can become an important tool in the humanization of birth.to identify the profile of psychosocial stressors, wellbeing at work and coping in prehospital care workers and its distinctions in relation to gender.
cross-sectional quantitative study with workers from public prehospital care. A sociodemographic instrument, the Psychosocial Stressors in the Labor Context Scale, the Inventory of Welfare at Work and the Occupational Coping Scale, were applied.
In a sample of 585 workers, women had greater role overload (p=0.002), career insecurity (p&lt;0.001), lack of autonomy (p=0.03) and work- family conflict (p&lt;0.001) compared to men. Men showed greater commitment and satisfaction at work than women (p&lt;0.001). The other factors and dimensions showed no statistically significant difference according to gender.
Women were more affected by psychosocial stressors, which probably reduced their wellbeing at work. This was possibly because they experienced a different social context from men.
Women were more affected by psychosocial stressors, which probably reduced their wellbeing at work. This was possibly because they experienced a different social context from men.to investigate symptoms of depression and anxiety and their association with the sociodemographic characteristics of undergraduate nursing students.
a cross-sectional analytical study carried out with students from the Faculty of Nursing at Universidade Federal de Juiz de Fora from June to July 019. Data were collected through a sociodemographic questionnaire and the Beck Depression and Anxiety Inventories.
192 students participated, with a mean age of 21.44 (±3.56) years. https://www.selleckchem.com/products/halofuginone.html 85.93% of participants were female. The mean depression score was 22.40 (±12.35), and anxiety was 17.56 (±11.98). There was a difference in the mean of the scales for sex and psychotropic drugs (p&lt;0.05). Women presented moderate and severe classification for both scales. Severe symptoms prevailed among students from the 6th to the 10th semester (18.22%).
there was an association between depression and anxiety symptoms related to gender and psychotropic drugs.
there was an association between depression and anxiety symptoms related to gender and psychotropic drugs.to assess salivary cortisol concentrations in hematology/oncology nurses on working days and days off.
a cross-sectional study carried out with 28 nurses from a university hospital. A sociodemographic, employment and health profile questionnaire was applied. For saliva collection, Salivette® tubes were used. Descriptive and analytical analysis was used.
there was no significant difference in cortisol concentrations between working days and days off (p&gt;0.05). The high cortisol concentration was associated with not having children (0.621±0.340; p=0.046), not using medication (0.623±0.133; p=0.017) and birth control pills (0.556 ± 0.228; p=0.047) and intention to leave work (0.951±0.154; p=0.001). A positive correlation was identified between cortisol and absence from work due to health issues (0.72; p=0.05) and weight gain (0.935; p=0.02).
in general, cortisol concentration is within the reference parameters, with no significant difference in its secretion on working days and days off.
in general, cortisol concentration is within the reference parameters, with no significant difference in its secretion on working days and days off.